HomeMy WebLinkAboutINSPECTION REPORT 2008~~~~
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION' 1: Business Plan and Inventory Program
Prevention Services
H e R S F, p 900'IYuxtun Ave., Suite 210
_ ___ _ _
F/RE Bakersfield, CA 93301
~erM s Tel:: (661) 326-3979.
~ Fax: (661) 872-2171
FACILITY NAME
C INSPECTION DATE
~/ / ~ INSPECTION TIME
ADDRESS
, PHONE NO. OOF EMPLOYEES
~
~ /, 5/
FACILITY CONTACT USINESS ID NUMBER
15-021-
~ ~ ~~~~~~s~~~~ ~'~ ~~ ,~~ i~~~ ~t ~ ~~ „~,~~ ~ ~~~~~, ~~~ ~ ~ ~~ '~ ~
~ ~ ~~~~~~Section 1y~Bus~nes~`s~Plan=and~Invento~y~Program r,,, ~ , , ,~~
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~^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
~
V=Violation COMMENTS
^ ~ APPROPRIATE PERMIT ON HAND !'~~~ ~~~~0 O/ G~~TF ~9~T Olv /7ZS~
~ ^ BUSI11@SS PLAN CONTACT INFORMATION ACCURATE
~ ^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
~I ^ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
'~ ^ VERIFICATION OF LOCATION
~ ^ PROPER SEGREGATION OF MATERIAL
^ ~ VERIFICATION OF MSDS AVAILABILITY ~~5Td~2~jC
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^ ~ VERIFICATION OF HAZ MAT TRAINING /~ilJ $7A42t~=
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~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ~I EMERGENCY PROCEDURES ADEQUATE ~~~'Tf,J2~(-"'
^ ^ CONTAINERS PROPERLY LABELED
~ ^ HOUSEKEEPING
^ ~ FIRE PROTECTION ~(J~ ~f Il~ L~}r~~/~U/ S F~Z ~N S~ € S~~
~f] ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~I NO
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EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
C~Prvl~ ~~~,~. 2
Inspector (Please Print) Fire Prevention / 1~' In / Shift of Site/Station # B siness Site / Responsibl a Please Print)
~~~ 3Z~ -3~~2 ` ~ _
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White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
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B E R S F 1 L D
F/IPE
ARTM T
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BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
FACILITY NAME: ~/Z Cl~ i4~~i~~'''~
23 vl ' ir '' ST
Section 2: Underground Storage Tanks Program
~ Routine '-~ Combined
Type of Tank _
Type of Monitoring _
^ Joint Agency ~ Multi-Agency
Number of Tanks
Type of Piping
INSPECTION DATE: ~d ~Ia~
^ Complaint ^ Re-Inspection
OPERATION C V COMMENTS
Proper tank data on file '~/
Proper owner / operator data on file !~
Permit fees current . ~
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? ^ Yes ^ No
Section 3: Aboveground Storage Tanks Program
Tank Size(s)
Type of Tank
Aggregate Capacity
Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?)
If yes, does tank have ove~ll / overspill protection?
C= Compliance V= Violation Y= Yes N= No
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Inspector:
Questions regarding this inspection? Please call us at (661) 326-3979
,Q~'~N5~6~~ D~' /D~~/~p~
White - Prevention Services
~
usiness Site Responsible a
Pink - Business Copy
KBF-7335 FD 2156 (Rev. 09/05)
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~ . .. , .,_ '~ , ; . _ . . . , .- ~ .. .. . ._ . ._ . . . .
~, CORRECTION NOTICE
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, . ~'~ ~ ~ . BAKERSFIELD FIRE D~EPARTMENT
~ PREVENTION SERVICES DIVISION k,,~€ t° ,~; .~, ~
~ ~ ~., ~~ !. •.. ,
i: 1501 TRUXTUN AVENUE
~ ~A-N1 ~>>,q,n:~pg~£(661 26-3979D O
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~~, Location: .,~ ~"~: -•; > ,~ b,~_~ ,1f.?,.~._3
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You are hereby required to take the following action at tHe above location;
~CORRECT 8~ CALL FOR REINSPECTION ^CORRECT & PROCEE~ `
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' Compietion Date for Corrections: "'~--~=~. " ~
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~~ Received by: < _ ~ .,~. . f'' i
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~ ,.~._., Date: t~ ~~ l. 1 / . ~ ~;~
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Inspector: Emie Medina Initial: , , j
esk Phone: , 661 326-3682 (from 8:OOam to 8:30am) i
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